New Patients

To help make your first visit to our surgery center as smooth as possible, please read the information on this web page. You'll find all the practical information you need, such as a map and directions to our office(s), surgery center hours, payment policies and more. We also describe our first visit procedures. And, you can save some time by printing out and completing the new patient forms in advance of your appointment.

Mission Statement

It is the mission of Susquehanna Valley Surgery Center to provide excellence in outpatient surgical care, within a customer-focused, service-oriented environment.

Patient Forms

Please print and fill out these forms so we can expedite your first visit:

  • Coming soon

In order to view or print these forms you will need Adobe Acrobat Reader installed. Click here to download it.

What to expect

Being well-prepared for your appointment will ensure that the doctor has all of the needed information to provide the best possible care for you. It also will help relieve any unnecessary anxiety you may be feeling. Educate yourself on your symptoms by reviewing the content on this Web site. Also, take some time to review our staff page and familiarize yourself with the doctors. We look forward to your first visit.

What do I need to have prepared on the day of service?

To ensure a smooth and fast registration when you arrive at Susquehanna Valley Surgery Center, please read and understand the following information as it will help you come better prepared for your surgery. If you have any questions about this procedure information, please call SVSC at 717-657-7556 to reach a front office receptionist.

  • No food allowed after midnight the day before the scheduled procedure, unless your physician has instructed you otherwise.
  • You must arrive one hour prior to your scheduled procedure.
  • An SVSC nurse will call you prior to your procedure to answer any questions you may have.
  • You will need to make arrangements for transportation home after your procedure has been completed. Please note that the person taking you home must remain available to the facility until you are discharged.
  • Bring your insurance card and a valid photo I.D.
  • DO NOT bring any valuables to the center.
  • DO NOT wear any jewelry to your procedure.
  • Bring all paperwork that your physician may have given you.

Does SVSC participate with my insurance company?

Susquehanna Valley Surgery Center participates with most insurance carriers. As a service to our patients, SVSC submits insurance claims on their behalf. As a reminder, deductibles and co-pays are due at the time of surgery. SVSC has a flexible payment schedule that can be discussed in detail upon request.

Insurance carriers SVSC participates with:

  • AETNA
  • AMERIHEALTH
  • HIGHMARK BLUE SHIELD
  • CAPITAL BLUE CROSS
  • CIGNA
  • MEDICAL ASSISTANCE
  • FEDERAL BLUE CROSS
  • GATEWAY
  • GEISINGER
  • HEALTH AMERICA/HEALTH ASSURANCE
  • HEALTH NET/TRICARE
  • KEYSTONE HEALTH PLANS
  • MEDICARE
  • PRIMESOURCE
  • WORKER'S COMPENSATION

What are my responsibilities and rights as a patient of SVSC?

  • It is the patient's responsibility to read and understand all permits and consents he or she signs.  If the patient does not understand, it is the patient's responsibility to ask the nurse or practitioner for clarification.
  • It is the patient's responsibility to answer all medical questions truthfully and to the best of his or her knowledge and to provide accurate and complete information about his or her present complaint, past illnesses, hospitalizations, medications and other matters relating to his or her health.  The patient has the responsibility to report unexpected changes in his or her condition to the responsible practitioner. The patient is responsible for reporting whether he or she clearly comprehends a contemplated course of action and what is expected of him or her.
     
  • The patient is responsible for his or her actions if he or she refuses treatment.
     
  • It is the patient's responsibility to read carefully and to follow all pre-operative instructions given by his or her physician and Susquehanna Valley Surgery Center.
     
  • It is the patient's or guardian's responsibility to notify the staff of Susquehanna Valley Surgery Center if he or she (or their child or ward) has not followed pre-operative instructions.
     
  • It is the patient's responsibility to provide transportation, as directed, to and from the Center.  Selected modes of transportation will be appropriate to the medications and/or anesthetics the patient will be receiving.
     
  • It is the patient's responsibility to read carefully and to follow all post-operative instructions received from his or her attending physicians and nurses, including information regarding post-operative follow-up appointments.
  • It is the patient's responsibility to contact his or her physician directly if he or she experiences any complications following surgery.
  • Patients are responsible for following Center rules and regulations relating to patient care and conduct.  Patients are responsible for being considerate of the rights of other patients, visitors and Center personnel and for assisting in the control of noise, unauthorized smoking, use of cell phones and the number of visitors. Patients are responsible for being respectful of the property of other persons of the Center.
  • It is the patient's responsibility to ensure that all payments for services rendered by Susquehanna Valley Surgery Center are made on a timely basis, and to understand that ultimate financial responsibility for services rendered by the Center are his or hers, regardless of the type of insurance coverage he or she may have.
  • It is the patient's responsibility to notify the Administrator of Susquehanna Valley Surgery Center if he or she feels that any rights have been violated, or if the patient has a significant complaint or suggestion for the improvement of services or quality of care.  This can be accomplished by completing the Center's Patient Satisfaction Survey or by contacting the Administrator.
  • When the patient is a child, adolescent or ward, the parent(s) or legal guardian will assume all of the above rights and responsibilities on behalf of the patient.

In consideration of its recognition of the basic human rights of patients, the staff of Susquehanna Valley Surgery Center pledges its commitment to the following:

  • Patients have the right medical and nursing services without discrimination based on age, race, color, religion, sex, national origin, handicap, disability or source of payment.
  • Patients will be treated with respect, consideration, and dignity by competent personnel.
  • Patients who do not speak English will have access, where possible, to an interpreter.
  • Patients have the right to know the person or persons responsible for coordinating their care.  Upon request they will be provided with the name of their attending practitioner, the names of all other practitioners directly participating in their care and the names and functions of other healthcare personnel having direct contact with them.
  • Patients have a right to an appropriate level of privacy, including privacy of any information or treatment concerning their medical care.  They have the right to be informed of any persons other than routine personnel who might be observing or participating in their treatment.
  • Patient records and disclosures will be treated confidentially, and all case discussion, consultation, examination or treatment will be considered confidential and conducted discreetly.
  • Upon request, the Center will provide the patient or the patient's designee access to the information contained in the patient's medical record - unless access is specifically restricted by the attending practitioner for medical reasons.
  • Patients have the right to have their records pertaining to their medical treatment treated as confidential, except as otherwise provided by law or third-party contractual arrangements.  When it is their right, patients will be given the opportunity to approve or refuse the release of their records.
  • Patients have a right to full information, presented in layman's terms, concerning their diagnosis, treatment and prognoses, including information about alternative treatments and possible complications.  When it is not medically advisable to give the information to the patient, the information will be given to a responsible person designated by the patient or to a legally authorized person.
  • Patients have the right to receive from their physicians enough information so that they may understand the procedure or treatment being received to give their informed consent.  Except for emergencies, the practitioner will provide all such necessary information for consent prior to the start of the procedure or treatment.
  • Patients, or if they are unable to give informed consent, a responsible person, have the right to be advised when a practitioner is considering the patient as part of a medical care research program or donor program.  Patients, or responsible persons acting on their behalf, will give informed consent prior to actual participation in any such program.  A patient, through his own refusal, or that of his responsible representative, may refuse to continue in a program to which he has previously given informed consent.
  • Patients have the right to refuse drugs or procedures, to the extent permitted by statute, and a practitioner will inform them of the medical consequences of their refusal of drugs or procedures.
  • Patients have a right to expect emergency procedures to be implemented without unnecessary delay.  When an emergency occurs, and the patient is transferred to another facility, a designated responsible person will be notified.  The institution to which the patient is to be transferred will be notified prior to the patient's transfer.
  • Patients have the right to expect quality care and service from the Center.  They have the right to expect that sound management techniques will be implemented within the Center and that these techniques will make effective use of the time of the patient and avoid the personal discomfort of the patient.
  • Patients have the right to know methods for expressing grievances and suggestions to Susquehanna Valley Surgery Center.  All grievances should be directed to the attention of the Administrator.
  • Patients have a right to know in advance the expected estimated cost of their visit.
  • Patients have a right to examine and receive an explanation of their bills, regardless of the source of payment.
  • Patients have the right to expect that the Center will provide for their continuing health requirements following discharge, and to be informed of the mechanisms by which these requirements will be accomplished.
  • Patients have the right to be informed of their rights prior to admission to the Center.
  • Patients have the right to know what Susquehanna Valley Surgery Center rules and regulations apply to their conduct and responsibilities as patients.
  • Medicare's website for information: https://www.medicare.gov/claims-and-appeals/medicare-rights/get-help/ombudsman.html
  • Pennsylvania Department of Health contact information: 

Pennsylvania Department of Health 
Quality Assurance Complaint Hotline 
1-800-254-5164 
Stephanie Kirkpatrick, Supervisor 
Division of Nursing Care Facilities 
Department of Health 
Room 526 Health and Welfare Building 
625 Forster St. 
Harrisburg, PA 17120-0701 
717-787-1816

What is SVSC's policy on Advanced Directives?

Due to the elective nature of procedures at our center, it is our policy not to accept or honor advanced directives. If you  desire additional information on advanced directives or have questions concerning how to obtain a declaration form, please let us know as this information is available upon request.

Contact Us

Surgery Center Hours
Monday: 06:15 AM - 05:00 PM
Tuesday: 06:15 AM - 05:00 PM
Wednesday: 06:15 AM - 05:00 PM
Thursday: 06:15 AM - 05:00 PM
Friday: 06:15 AM - 05:00 PM
Saturday: Closed
Sunday: Closed